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Pennsylvania rates for HCPCS 95782

Polysom <6 Yrs Sleep Stage 4/> Addl Param Attnd

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$499.00 / $4,360.68 / $6,441.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$876.52 / $1,033.26 / $1,573.60
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$832.85 / $832.85 / $832.85
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $8,639.91 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.00 / $1,353.02 / $1,902.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$986.81 / $1,095.34 / $2,060.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$880.19 / $1,235.42 / $2,154.40
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,015.36 / $1,480.25 / $1,945.71
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,293.94 / $3,651.30 / $8,439.40
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.25 / $143.25 / $143.25
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$499.00 / $3,265.35 / $7,639.80
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$879.13 / $1,139.45 / $2,879.71
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.27 / $867.10 / $1,739.50
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$986.81 / $1,095.34 / $1,716.95
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.89 / $1,259.70 / $2,190.92
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$896.54 / $903.52 / $903.52
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$887.15 / $903.52 / $986.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$824.70 / $1,099.83 / $1,718.34